title: "Learning to become a family caregiver" efficacy of an intervention program for caregivers following diagnosis of dementia in a relative.
abstract: OBJECTIVE
  The purpose of this experimental study was to test the efficacy of a psychoeducational individual program conceived to facilitate transition to the caregiver role following diagnosis of Alzheimer disease in a relative.
  
  
  METHODS
  Caregivers were recruited in memory clinics and randomized to an experimental group (n = 62) or a control group (n = 49) receiving usual care. Eligible participants-primary caregivers of a relative diagnosed with Alzheimer in the past 9 months-were assessed blindly before randomization, at the end of the program (post-test), and 3 months later (follow-up) on different outcomes associated with healthy role transition.
  
  
  RESULTS
  The analyses indicated that at post-test and follow-up, caregivers in the experimental group were more confident in dealing with caregiving situations, perceived themselves to be better prepared to provide care and more efficacious in their caregiver role, were better able to plan for the future care needs of their relative, had better knowledge of available services, and made more frequent use of the coping strategies of problem solving and reframing. The program had no significant effect on use of stress-management strategies, perceived informal support and family conflicts.
  
  
  CONCLUSIONS
  This program underscores that a proactive intervention approach from the onset of the care trajectory is key to fostering caregiver adaptation to the new challenges they must meet.
authors.affiliation: Faculté des sciences infirmières, Université de Montréal, Quebec, Canada. francine.ducharme@umontreal.ca
authors.forename: Francine C
authors.initials: FC
authors.lastname: Ducharme
authors.forename: Louise L
authors.initials: LL
authors.lastname: Lévesque
authors.forename: Lise M
authors.initials: LM
authors.lastname: Lachance
authors.forename: Marie-Jeanne
authors.initials: MJ
authors.lastname: Kergoat
authors.forename: Alain J
authors.initials: AJ
authors.lastname: Legault
authors.forename: Line M
authors.initials: LM
authors.lastname: Beaudet
authors.forename: Steven H
authors.initials: SH
authors.lastname: Zarit
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D002170:Canada; D017028:Caregivers / Q000193:education* / Q000523:psychology*; D003704:Dementia / Q000175:diagnosis / Q000451:nursing*; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011340:Problem Solving; D020377:Self Efficacy; D012959:Socioeconomic Factors